Individual provider Active NPI

George Thabit III, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Redwood City, CA
National Provider Identifier
1346261682
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
G72547 Issued in CA
Practice address
500 Arguello Street
Suite 100
Redwood City, CA 94063
Phone
(650) 851-4900
Fax
(650) 995-1202
NPI assigned
Jul 22, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G72547 CA Primary

Addresses

Primary practice location

500 Arguello Street
Suite 100
Redwood City, CA 94063

Mailing address

500 Arguello Street
Suite 100
Redwood City, CA 94063
Phone (650) 851-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000190 CA Practitioner - Orthopedic Surgery 3476449679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Wake Forest University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Orthopedic Associates IncGroup PAC ID 7719974336, 18 clinicians

Practice addresses (Care Compare)

1850 Sullivan Ave
Suite 330
Daly City, CA 94015-2204
Phone (650) 756-5630

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Orthopedic Associates, Inc. Sports Medicine CurrentSince May 1, 2024 Accepting new patients
The Physiatry Medical Group, Inc CurrentSince Apr 1, 2019 Accepting new patients
Sports Orthopedic and Rehabilitation Medicine Associates Sports Medicine Past Accepting new patients
Soar Surgery Center, LLC Past Accepting new patients

Locations

1850 Sullivan Ave
Ste 330
Daly City, CA 94015
Phone (650) 756-5630

901 Campus Dr
Ste 107
Daly City, CA 94015

15047 Los Gatos Blvd
Ste 100
Los Gatos, CA 95032
Phone (408) 356-2774

500 Arguello St
Ste 100
Redwood City, CA 94063
Phone (650) 581-4900

550 S Winchester Blvd
Ste 110
San Jose, CA 95128
Phone (408) 247-4900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346261682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ARGUELLO STREET",
            "address_2": "SUITE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-851-4900",
            "fax_number": "650-995-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ARGUELLO STREET",
            "address_2": "SUITE 100",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94063",
            "telephone_number": "650-851-4900",
            "fax_number": "650-995-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THABIT",
        "first_name": "GEORGE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G72547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.